| NPI | 1114997244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201391437NN-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN07370300) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2017-01-30 |