| NPI | 1548400641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00188100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335700) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-05 |