| NPI | 1982794764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NN80602) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NO80602) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-08-04 |