| NPI | 1487709093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00118400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR06796500) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-04-29 |