| NPI | 1437311537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00606800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003899) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-03-30 |