| NPI | 1477287860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01375500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS tmp-160968) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310942) | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-01-29 |