| NPI | 1851707749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26nj00310700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26nj00310700) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 306648) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2015-03-11 |