| NPI | 1609208511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00464100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA S013011) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2016-11-17 |