| NPI | 1538786702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01219700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR18922600) |
| 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR18922600) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: NJ 26NR18922600) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-03-29 |