| NPI | 1770008302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00754800) |
| Additional Taxonomies | 174400000X Specialist |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 26NJ00754800) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-07-27 |