| NPI | 1275841769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00332300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR15296500) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 687810) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2021-08-30 |