| NPI | 1417120015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN07708900) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NJ 26NN07708900) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2011-11-15 |