| NPI | 1528490315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00430400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337902-1) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2016-01-18 |