| NPI | 1649053471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ01293700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F310142-01) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-10-31 |