| NPI | 1770966038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00561400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F339578-1) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ00561400) | |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00561400) | |
| 363LC1500X Nurse Practitioner Community Health (Licence: NJ 26NJ00561400) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2016-11-11 |