| NPI | 1801970231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN09296900) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: NJ 26NN09296900) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-09-11 |