| NPI | 1699135038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01044500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2266820) |
| 163W00000X Registered Nurse (Licence: NY 22 701135) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR17522600) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431092) | |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2021-04-21 |