| NPI | 1033539853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00717200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340547) |
| 163W00000X Registered Nurse (Licence: NY 651495) | |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2017-06-23 |