| NPI | 1144211392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN06948100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006074B) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-10-16 |