| NPI | 1831492677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00657100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340548) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2017-03-07 |