| NPI | 1912480609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00863800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO12268900) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-09-14 |