| NPI | 1902235377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 23NJ14886600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307180) |
| 163W00000X Registered Nurse (Licence: NY 672270) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-10-17 |