| NPI | 1043483639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00170400) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430355) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2009-11-09 |