| NPI | 1033424544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00310200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 33336455) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2013-10-30 |