| NPI | 1386389062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15043400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 349349) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2025-05-19 |