| NPI | 1922877406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ15026800) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311708) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1154894) | |
| 163W00000X Registered Nurse (Licence: NY 807626) | |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-04-18 |