| NPI | 1508221870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00629600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15492200) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2024-09-25 |