| NPI | 1649740945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ0087440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP034483) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2026-05-15 |