| NPI | 1154102515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15180700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26N18095600) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2025-10-22 |