| NPI | 1619766185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15347700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP032826) |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-09-11 |