| NPI | 1619234390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00369900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12940700) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2022-07-21 |