| NPI | 1053355768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NO08114600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ NN81146) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-10-07 |