| NPI | 1124293709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 25NJ00158100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO07334700) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2020-11-10 |