| NPI | 1902420763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR17868800) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NJ 26NR17868800) |
| 163WH0200X Registered Nurse, Home Health (Licence: NJ 26NR17868800) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NJ 26NR17868800) | |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |