| NPI | 1720008691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00112300) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ0012300) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NO11121800) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-08-04 |