| NPI | 1154194462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR20063400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 837075) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2025-08-05 |