| NPI | 1952600629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NR09455900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN333217L) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2012-04-10 |