| NPI | 1881569879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ14999200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14999200) |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-12-04 |