| NPI | 1962380774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ15221900) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 26NJ15221900) |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-09-10 |