| NPI | 1942708128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00798800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP033893) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2026-02-27 |