| NPI | 1972197846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01080000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18118400) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2026-02-27 |