| NPI | 1750120408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F311813-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15075500) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-03-27 |