| NPI | 1396356457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01086500) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01086500) |
| 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR14866000) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-12-16 |