| NPI | 1407951197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00063000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F-333790-1) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |