| NPI | 1750469094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NC101151) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ NO101151) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-12-19 |