| NPI | 1528618006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00976800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14298100) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-02-11 |