| NPI | 1467641449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: NJ 26NJ00131900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00131900) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 336671) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2014-07-14 |