| NPI | 1205931557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN04951500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP002313B) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2013-09-03 |