| NPI | 1972178721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: NJ 26NJ01059900) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 26NJ01059900) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01059900) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01059900) | |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2022-03-26 |