| NPI | 1972715316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00063700) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00063700) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NJ 26NJ00063700) | |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2007-07-08 |