| NPI | 1598030652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00409800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F337159) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-12-19 |