| NPI | 1205000221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR07436500) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NJ 20210449) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NJ 26NN7436500) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |