| NPI | 1467530139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN09626100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA TP006706c) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-10-20 |