| NPI | 1689062952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 2NJ00544600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 2NJ00544600) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |