| NPI | 1962754648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01111000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1010297) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R183655) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2022-06-28 |