| NPI | 1083984611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00338000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR11403300) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |