| NPI | 1992138549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NR06630900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NR06630900) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-10-05 |