| NPI | 1922005370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00023500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR03672000) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00023500) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-02-11 |