| NPI | 1639369879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00061300) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ0061300) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2013-11-15 |