| NPI | 1992532121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15136900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029999) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-02-20 |