| NPI | 1104492271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01385800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347216) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2025-04-08 |