| NPI | 1952741647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00452600) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NJ 597949) |
| 163W00000X Registered Nurse (Licence: NJ 26NR13691200) | |
| 163W00000X Registered Nurse (Licence: NY 617187-1) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2016-09-06 |