| NPI | 1710496260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01020100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP017913) |
| 363L00000X Nurse Practitioner (Licence: GA RN225685) | |
| 363L00000X Nurse Practitioner (Licence: NY F345736) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2023-05-01 |