| NPI | 1093585952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15067300) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: PA CNS000205) |
| 364S00000X Clinical Nurse Specialist (Licence: NJ 26NJ15067300) | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-04-23 |