| NPI | 1992757009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NN056092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR056092) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |