| NPI | 1649167065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15144200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 355584) |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |