| NPI | 1316965510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00029300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 333915) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ NJ00029300NJ) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-01-14 |