| NPI | 1275071839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00706800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR11942300) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-04-27 |