| NPI | 1932228939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN10644300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 488126) |
| 363L00000X Nurse Practitioner (Licence: NY F333216) | |
| 163W00000X Registered Nurse (Licence: NJ 26NO10644300) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-10-01 |