| NPI | 1831874841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15068800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F353061-01) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2025-08-12 |