| NPI | 1730649484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5013519) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NR20759700) |
| 207Q00000X Family Medicine (Licence: NC 5013519) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5013519) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-08-08 |