| NPI | 1063966323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00661400) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR16099000) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-09-01 |