| NPI | 1629028568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00070900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO05261700) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-04-08 |