| NPI | 1508938028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN06624900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NO06624900) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-03-28 |