| NPI | 1508806159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN03287900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP003411F) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |