| NPI | 1174932073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00511200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338992-1) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2016-05-11 |