| NPI | 1033572490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00421900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337939-1) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-03 |