| NPI | 1962820209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00490600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR15937400) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00490600) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-05-18 |