| NPI | 1629667407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ01020800) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ01020800) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |