| NPI | 1639706286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00988200) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00988200) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ00988200) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00988200) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-01-17 |