| NPI | 1659593770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR09948900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 303886) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-10-21 |