| NPI | 1639701584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ14982100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009772A) |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2025-02-17 |