| NPI | 1396267035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NR16106000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16106000) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00751300) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00751300) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-03-09 |