| NPI | 1518500149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00988800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17515600) |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2021-01-10 |