| NPI | 1689796203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00844200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1002547) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169683) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-05-20 |