| NPI | 1104794049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15443400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 1811601768) |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2026-06-03 |