| NPI | 1861927345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NR15460300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15460300) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00725200) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2022-03-22 |