| NPI | 1639939689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ14975600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 2805675) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |