| NPI | 1063798387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00246400) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00246400) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017241) | |
| 363L00000X Nurse Practitioner (Licence: PA SP017241) | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2025-10-07 |