| NPI | 1538543764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15223300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2369278) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15223300) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2025-07-16 |