| NPI | 1194187492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NO08108900) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00811300) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2018-12-20 |