| NPI | 1255622601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: NJ 163WR0006X) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00698700) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NJ 26NJ00698700) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2017-04-03 |