| NPI | 1366956757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN9355406) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26J01070900) |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26J01070900) | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2024-04-10 |