| NPI | 1487831087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00149300) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NO08003300) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2016-05-18 |