| NPI | 1376674861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00021100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ MA051658) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-01-11 |