| NPI | 1437375219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00329800) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 879182) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-07-14 |