| NPI | 1013129311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 218717) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NN09993200) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-01-18 |