| NPI | 1649011297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 311922) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR23795100) |
| 163WC0400X Registered Nurse Case Management (Licence: NY 491303) | |
| 163W00000X Registered Nurse (Licence: NJ RN555950) | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-07-19 |