| NPI | 1720109846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00372800) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NJ 26NR11441600) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NR11441600) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R233355) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP500005960) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-12-21 |