| NPI | 1083045942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01119300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 638006) |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: NY 22 638006) | |
| 363LF0000X Nurse Practitioner Family (Licence: NJ NJDCATEMP-029564) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 342176) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2025-05-28 |