| NPI | 1699554527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ14951200) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311499) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ14951200) | |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-05-30 |