| NPI | 1700773561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj15290800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15290800) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-09-02 |