| NPI | 1215625942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021426) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5021426) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01388800) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-02-26 |