| NPI | 1245576834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00412300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00412300) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310694-01) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2023-12-20 |