| NPI | 1962379552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15472900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP034114) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2026-03-02 |