| NPI | 1508329533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15219200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 760608-1) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-11-19 |