| NPI | 1255278396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15558200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 359585) |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-07-16 |