| NPI | 1649031394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 26NJ14968900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14968900) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2025-04-15 |