| NPI | 1033991229 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15204800) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1140004) | 
| Enumeration Date | 2023-10-20 | 
| Last Update Date | 2024-12-17 |