| NPI | 1962749382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01100600) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01100600) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14674800) | |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2024-01-17 |