| NPI | 1689566317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15323400) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 312169) |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |