| NPI | 1730896598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14978500) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NR20989600) |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: NJ 26NR20989600) | |
| 363L00000X Nurse Practitioner (Licence: NY 35370) | |
| 163W00000X Registered Nurse (Licence: NY 887455) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-08-26 |