| NPI | 1700905072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00008100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26MJ00008100) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-11-30 |