| NPI | 1255533089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301461-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00024600) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 505348) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2023-01-31 |