| NPI | 1629089925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN0831100) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: PA VP000887C) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |