| NPI | 1992027643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00491000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338301) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2016-02-19 |