| NPI | 1538976311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15215500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F355382-01) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15215500) | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-03-24 |