| NPI | 1982424313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15188500) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-11-14 |