| NPI | 1750273256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15161500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ15161500) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 26NJ15161500) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ15161500) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ15161500) | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-20 |