| NPI | 1629563564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00846400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15005600) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2018-09-04 |