| NPI | 1841248598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00131000) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NY 476435-1) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-09-21 |