| NPI | 1356711550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00582200) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: NJ 26NJ00582200) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-05-25 |