| NPI | 1013694595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14917000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14081200) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-05-22 |