| NPI | 1750625943 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR10816300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00396300) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2025-05-14 |