| NPI | 1699431361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nJ15086300) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11046534) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310618) | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2026-04-16 |