| NPI | 1245708676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 9748) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: NJ 26NR14658200) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00875500) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 9748) | |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2021-09-22 |