| NPI | 1083802474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR11127400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 589109) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |