| NPI | 1669813390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00466300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ A1209076) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2018-07-20 |