| NPI | 1881431955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311951) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 765177) |
| 163W00000X Registered Nurse (Licence: NJ 26NR25633800) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 25NJ15126700) | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-09-26 |