| NPI | 1972256642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01070300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F346856-01) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2026-07-09 |