| NPI | 1548510662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00401200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NR15387300) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2015-03-10 |