| NPI | 1306156294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00004200) |
| Additional Taxonomies | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: NJ 26NJ00004200) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2024-10-15 |