| NPI | 1679090476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR19508500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95148062) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-05-08 |