| NPI | 1902636194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15158300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 707868) |
| 163W00000X Registered Nurse (Licence: NJ 26NR24535600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 354927) | |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2025-12-09 |