| NPI | 1912788514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ15034900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15034900) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ F09231255) | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-05-14 |