| NPI | 1346517166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00355400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9362899) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2013-10-22 |