| NPI | 1972691079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nn04298100) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ NN42981) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-07-21 |