| NPI | 1063573913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN071626) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 114172-23) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-05-08 |