| NPI | 1518377647 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00493500)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00493500)  | 
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00493500)  | |
| Enumeration Date | 2014-04-29 | 
| Last Update Date | 2025-01-15 |