| NPI | 1497138358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01013600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13633800.) |
| 163W00000X Registered Nurse (Licence: PA RN525230L.) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2021-02-26 |