| NPI | 1861781106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000151) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00310500) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ00310500) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2016-07-29 |