| NPI | 1972152080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00967500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14272900) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2021-05-14 |