| NPI | 1528156122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NJ000125) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NR066509) |
| 363L00000X Nurse Practitioner (Licence: PA RN235726L) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-10-24 |