| NPI | 1043299431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00000800) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ 26NJ0000080) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2008-11-17 |