| NPI | 1194870816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN04459600) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NC04459600) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-08-09 |