| NPI | 1699740209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00054900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO06959300) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00054900) | |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2012-04-06 |