| NPI | 1023841483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ F06232148) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ F06232148) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-08-22 |