| NPI | 1730377102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NR16474300) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NY 304707) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NJ 26NJ00425800) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2024-06-04 |