| NPI | 1669671046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00129700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR08769200) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |