| NPI | 1770895906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339159) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00275800) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00275800) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2015-02-11 |