| NPI | 1609478684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01084100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16940600) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2021-03-15 |