| NPI | 1417571902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00999300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 345875) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2025-08-27 |