| NPI | 1003505876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 26NJ01470400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ01470400) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01470400) | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2025-04-03 |