| NPI | 1043220098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN07873000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F303116-1) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NN07873000) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-05-18 |