| NPI | 1952500357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN07788100) |
| Additional Taxonomies | 261Q00000X (Licence: NJ 26NN07788100) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-01-25 |