| NPI | 1962142968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01415400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15658800) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-01-02 |