| NPI | 1417227059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR09474500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 470829-1) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |