| NPI | 1780290262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA RN736861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR22025500) |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2025-03-27 |