| NPI | 1053517730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00198400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335269) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2013-08-15 |