| NPI | 1740641315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00611100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F09151418) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |