| NPI | 1124537964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00756300) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ00756300) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |