| NPI | 1376615864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NO12162200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00050700) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |