| NPI | 1710259197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00669100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307933) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00669100) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2024-07-03 |