| NPI | 1811396609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00491300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR11495600) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |