| NPI | 1902675903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA RN694085) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NR21220500) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |