| NPI | 1346525193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NJ2600347800) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NJ 26NJ00347800) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2017-06-27 |