| NPI | 1588909949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00409200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1689) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2020-03-05 |