| NPI | 1881849065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00899000) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: NJ 26NR07111600) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-05-25 |