| NPI | 1760529713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00348000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 12258) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-09-26 |