| NPI | 1255583373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR24786900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335728) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2025-08-07 |