| NPI | 1790249993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 1661157) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00822400) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2024-09-13 |