| NPI | 1245359553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN05069400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332793-1) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-03-30 |