| NPI | 1043988561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01481900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14289500) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-08-07 |