| NPI | 1811508799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01072000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.030848) |
| 163W00000X Registered Nurse (Licence: IL 041.575592) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR15812700) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2026-05-05 |