| NPI | 1780928697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR09578700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 497715-1) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2014-11-19 |