| NPI | 1275391542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432931) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ15030500) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311730) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |