| NPI | 1194563460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15107300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 354177) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2025-03-11 |