| NPI | 1154853661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 729802) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01266500) |
| 163W00000X Registered Nurse (Licence: NJ 26NR22651600) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308190) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-09-14 |