| NPI | 1013056209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00170900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F370033) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304332) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-10-09 |