| NPI | 1811743594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ15324800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13952400) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2025-04-30 |