| NPI | 1174811178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00297300) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NJ 26NJ00297300) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2024-11-21 |