| NPI | 1871186437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26765) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NR14491100) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2025-07-30 |