| NPI | 1093902215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00143600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26RN10599500) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2018-06-18 |