| NPI | 1750111878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 2023206548) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA APRN10004731) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-11-11 |