| NPI | 1013145788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 26NJ01420200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 593144) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2023-01-11 |