| NPI | 1003191883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA sp011398) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00412700) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2017-03-07 |