| NPI | 1093257289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00653600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00653600) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307677-1) | |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2017-03-29 |