| NPI | 1013119973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0013X Chiropractor Independent Medical Examiner (Licence: NJ 38MC00467000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 350691) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11027588) | |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ14914900) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2023-09-15 |