| NPI | 1760138754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01279200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 355057) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-05-08 |