| NPI | 1720799794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 26NJ01395500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19625100) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-10-04 |