| NPI | 1154122216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ15360400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2339886) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-08-07 |