| NPI | 1023901469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15285400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15285400) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ15285400) | |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-11 |