| NPI | 1447402953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00177800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR09553400) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-12-31 |