| NPI | 1346550571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NR11249000) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NR11249000) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NR11249000) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00302600) | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2019-01-30 |