| NPI | 1417311754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ00622600) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: NJ 26NJ00622600) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2019-01-10 |