| NPI | 1740569904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26nj00315300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA sp011240) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2018-02-02 |