| NPI | 1689080749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00524800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9163596) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-10-23 |