| NPI | 1649368648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ NR10735300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NJ000477) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-11-24 |