| NPI | 1588130058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: NJ 26NJ00854300) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00854300) |
| 363L00000X Nurse Practitioner (Licence: DC NP500023507) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2025-05-09 |