| NPI | 1497976054 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN10588400)  | 
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: NJ NN105884)  | 
| Enumeration Date | 2007-05-01 | 
| Last Update Date | 2008-06-09 |