| NPI | 1790540581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15100800) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ15100800) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP028641) | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-09-04 |