| NPI | 1588814743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00175300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO03891300) |
| 163WC1400X Registered Nurse, College Health (Licence: NJ 26NO03891300) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2009-03-03 |