| NPI | 1649893405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01463800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F345665-01) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-05-15 |