| NPI | 1194541219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ15218000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19790100) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2025-02-04 |