| NPI | 1114779840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15130900) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR19308300) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-09-09 |