| NPI | 1821297730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00056100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO06665000) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-01-29 |