| NPI | 1114797602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14938200) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NJ 26NJ14938200) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2026-01-20 |