| NPI | 1770863789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00572600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005267) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2015-08-07 |