| NPI | 1629616941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA RN705911) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01203100) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2022-07-19 |