| NPI | 1619079761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN09830700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R250477) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-10-11 |