| NPI | 1407946494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NJ000649) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NR057029) |
| 363L00000X Nurse Practitioner (Licence: PA VP006250P) | |
| 363L00000X Nurse Practitioner (Licence: PA RN226094L) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-04-22 |