| NPI | 1164217519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15240400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 356054) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-06-05 |