| NPI | 1417599275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00943200) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00943200) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F345047) | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-10-15 |