| NPI | 1780578955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15300000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F356151) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11036070) | |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |