| NPI | 1770724551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26nn06774200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 5557296) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2015-07-16 |