| NPI | 1134555378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00603300) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP013161) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2017-09-21 |