| NPI | 1194197434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00593800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ RNJ00593800) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2019-04-17 |