| NPI | 1568791960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00582300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335304-1) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2025-09-09 |