| NPI | 1386887040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00178300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305041) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nj00178300) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2013-05-20 |