| Date of birth: | Sep 16, 1966 |
| Hair: | Blonde |
| Eyes: | Blue |
| Hair length: | SHORT |
| Sbi: | 625461D |
| Marital status: | MARRIED |
| Current location: | MAIN |
| Booked at: | OCEAN |
| Commitment number: | 15-166085 |
| Citizen: | UNITED STATES |
| Birth place: | New Jersey |
| Booking date: | May 31, 2013 |
| Booking location: | Ocean County, NJ |
| Offense date: | May 31, 2013 |
| Description: | HEALTH CARE CLAIMS FRAUD |
| Code: | 2C:21-4.3 |