| NPI | 1609698109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15189800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031872) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2026-03-27 |