| NPI | 1831860105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NRJ01206000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16495500) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2021-12-01 |