| NPI | 1124983028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15486400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP035027) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 358562) | |
| Enumeration Date | 2025-12-22 |
| Last Update Date | 2026-01-22 |