| NPI | 1043260581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00010900) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: NJ 26NO07103100) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-12-02 |