| NPI | 1063503878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NO10832700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ nn108327) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-03-14 |