| NPI | 1356431050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NR79808) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NN79808) |
| 363L00000X Nurse Practitioner (Licence: PA RN322533L) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-06-26 |