| NPI | 1326682311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00957300) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025547) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000032508) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-02-22 |