| NPI | 1235983115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ15132000) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR18744600) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-10-02 |