| NPI | 1740620145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00440100) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NJ 26NJ00440100) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2021-10-18 |