| NPI | 1073687760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ0008990) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ NJ000899) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-11-10 |