| NPI | 1760284772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15359500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 1000553) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-07-02 |