| NPI | 1760680573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00142000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO12393800) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00142000) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2014-06-26 |