| NPI | 1326322546 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00468000)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F336685)  | 
| Enumeration Date | 2011-10-06 | 
| Last Update Date | 2016-09-13 |