| NPI | 1083280317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ01110300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F309828) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2025-05-14 |