| NPI | 1033484076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NO11536800) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ A0610012) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |