| NPI | 1942062880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15058200) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP029087) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15058200) | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2025-10-09 |