| NPI | 1962749382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ01100600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14674800) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2021-05-21 |