| NPI | 1902447980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01479500) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020578) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 25NJ01479500) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2023-12-02 |