| NPI | 1063934255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00830000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 707494) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308560) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2018-07-20 |