| NPI | 1508316134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR18588500-NJ) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 718162-1) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |