| NPI | 1023357605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00442900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 336397) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2014-05-06 |