| NPI | 1215158936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NO10930000) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00549100) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00549100) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00549100) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-02-03 |