| NPI | 1831502806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00493100) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: NJ 26NR00493100) |
| 163WP0000X Registered Nurse, Pain Management (Licence: NJ 26NJ00493100) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR00493100) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 204825) | |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2025-11-12 |