| NPI | 1760757587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00368300) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21833) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2017-01-19 |