| NPI | 1598907917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 338407-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 536104-1) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2019-07-18 |