| NPI | 1609397595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR12054700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00749800) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-09-30 |