| NPI | 1366760373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ00286100) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NJ 26NJ00286100) |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00286100) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2018-07-25 |