| NPI | 1376329557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NR18876100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717572) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432743) | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2025-10-09 |