| NPI | 1952722258 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8091) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00475900) | 
| 363L00000X Nurse Practitioner (Licence: MA RN2351902) | |
| Enumeration Date | 2014-01-04 | 
| Last Update Date | 2024-03-05 |