| NPI | 1174833495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00771900) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: NJ 26NO11508100) |
| 207Q00000X Family Medicine (Licence: NJ 26NJ00771900) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2020-05-28 |