| NPI | 1629319777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01000300) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY F305859-1) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2020-02-25 |