| NPI | 1962773770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00481900) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 549642-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NR11246000) | |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2018-04-30 |