| NPI | 1598061673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00549600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R183608) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2015-03-16 |