| NPI | 1912009135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN07449700) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NR/NN07449700) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-07-01 |