| NPI | 1184906554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00373500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR11166500) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2017-01-11 |