| NPI | 1306182761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00404400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337675-1) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |