| NPI | 1518080761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00069300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26n011126000) |
| 163WW0000X Registered Nurse, Wound Care (Licence: NJ 26NJ00069300) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-05-17 |