| NPI | 1538931951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15266600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 351166) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2025-06-11 |