| NPI | 1477873107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR00439400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 02200576964) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F337600-1) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2016-12-21 |