| NPI | 1366714115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00324500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337264-1) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-10-03 |