| NPI | 1386016392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00600600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307532-1) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2018-07-09 |