| NPI | 1962558494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 116351) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01470300) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-04-19 |