| NPI | 1649011297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311922) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15158500) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP031540) | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2025-02-19 |