| NPI | 1942948872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14943400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R220366) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2023-12-14 |