| NPI | 1104600683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14917400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19572500) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2025-09-03 |