| NPI | 1356961411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11034879) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NJ NJDCATEMP-007648) |
| Enumeration Date | 2020-04-19 |
| Last Update Date | 2025-03-28 |