| NPI | 1982380119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01436600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01436600) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-09-22 |