| NPI | 1336227636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NO07050300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NN07050300) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NC07050300) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |