| NPI | 1356798771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00639300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nj00639300) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00639300) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |