| NPI | 1760552822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09210800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NO09210800) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-04-18 |