| NPI | 1972573160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00127200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335056) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2017-03-08 |