| NPI | 1861922684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00736100) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NJ 26NR15733500) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-03-17 |