| NPI | 1811481609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00829500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00829500) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2022-08-11 |