| NPI | 1467858480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26 NJ 005 43700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339275) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2016-01-14 |