| NPI | 1952392128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ NJ00067600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP003196U) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2009-04-20 |