| NPI | 1942622915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00685600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15665200) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2017-04-28 |