| NPI | 1962441774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09263500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG0000250) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-03-18 |