| NPI | 1487470464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15347200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 766401) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-10-04 |