| NPI | 1669144523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01209600) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ01209600) |
| 364SA2100X Clinical Nurse Specialist Acute Care (Licence: NJ 26NJ01209600) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-12-22 |