| NPI | 1083123780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 26378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 217473) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00778100) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-12-28 |