| NPI | 1902298607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00646500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 351374) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP014774) | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2026-01-05 |