| NPI | 1093850281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NN05049200) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NN05049200) |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: NJ 26NN05049200) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-08-27 |