| NPI | 1023397650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NJ 26NJ00717500) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NJ 541220) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14163300) | |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: NJ 26NR14163300) | |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2023-02-01 |