| NPI | 1295281715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01456900) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11042937) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016311) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2025-10-31 |