| NPI | 1356693857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ012856600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 663992) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2025-04-04 |