| NPI | 1811751324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15192600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22604800) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-12-23 |