| NPI | 1255484051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NO09751400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 212913) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-09 |