| NPI | 1730200924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00356000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335102) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-06-22 |