| NPI | 1558880211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F312921-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR23939900) |
| 163W00000X Registered Nurse (Licence: NY 683527) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15543500) | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2026-08-26 |