| NPI | 1417266396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00318300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336451) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2015-07-28 |