| NPI | 1396358552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01338700) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431874) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 347107) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01338700) | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2025-04-14 |