| NPI | 1366224834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ14939800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18821500) |
| 163W00000X Registered Nurse (Licence: PA RN689119) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |