| NPI | 1356524474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00239400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 2090061619) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2009-10-27 |