| NPI | 1518109487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00234100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO09089600) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2018-03-17 |