| NPI | 1447632765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NR15055700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 693158-1) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |