| NPI | 1811159130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00636100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 304895) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2025-06-09 |