| NPI | 1366258295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15260900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19472800) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2025-02-24 |