| NPI | 1992306856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01483200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18167700) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-01-29 |