| NPI | 1750171989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15254100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ15254100) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ15254100) | |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-08-05 |