| NPI | 1972200632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ14958000) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NJ 26NR19928500) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: PA RN729932) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-12-21 |