| NPI | 1235118555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00026000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ00026000) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2016-12-23 |