| NPI | 1174846695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NC07255700) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NJ 26NCO7255700) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2018-08-02 |