| NPI | 1124078043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00029900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11684600) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-07-26 |