| NPI | 1497113237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00381400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337177-1) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2017-05-26 |