| NPI | 1679217756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR13537900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 609824) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-05-20 |