| NPI | 1477922789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nj00642900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f339346-1) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2017-03-31 |