| NPI | 1902931231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ SP007695) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NN06451900) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ NJ26NN06451900) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-07-12 |