| NPI | 1861497760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 25NN09381600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 25NO09381600) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-06-24 |