| NPI | 1639825805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997339-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14927600) |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2025-01-20 |