| NPI | 1609221704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00633800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR12695900) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-05-25 |