| NPI | 1760197230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14913200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19441000) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-10-03 |