| NPI | 1417031113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NN 073508) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NN07350800) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-04-10 |