| NPI | 1376787259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NJ 26NN05805900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN05805900) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |