| NPI | 1790031391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15355200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F357016-01) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2025-09-22 |