| NPI | 1285445858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15397500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 917370) |
| 163W00000X Registered Nurse (Licence: NJ 26NR25780500) | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2026-01-21 |