| NPI | 1790495240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15272800) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0012240) |
| Enumeration Date | 2022-11-24 |
| Last Update Date | 2026-05-22 |