| NPI | 1306619259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348855-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 557450-01) |
| 163WC0400X Registered Nurse, Case Management (Licence: NJ 4206962) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15016100) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR17760800) | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-06-06 |