| NPI | 1184209017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ01227100) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NJ 26NR19479600) |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2022-04-14 |