| NPI | 1528766086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR15405900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F349695) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2025-10-27 |