| NPI | 1851523278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00191000) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 304928) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2012-04-26 |