| NPI | 1528441706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00652200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA sp014887) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-09-08 |