| NPI | 1326089673 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR10302000)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00003300)  | 
| Enumeration Date | 2006-06-09 | 
| Last Update Date | 2025-09-11 |