| NPI | 1790159556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00615500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16177800) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2019-01-14 |