| NPI | 1750362679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303208-1) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NN06605500) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430118-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN06605500) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-12-02 |