| NPI | 1861645160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00996000) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP05182100) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2019-12-24 |