| NPI | 1386756765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00077000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009053) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-06-18 |