| NPI | 1154963247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14987600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2314884) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2025-07-30 |