| NPI | 1205612579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14943100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F354167-01) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2025-07-08 |