| NPI | 1275199317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00883300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00883300) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95027714) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2025-11-24 |