| NPI | 1134358294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00212500) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ NJ00212500) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP010163) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00212500) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2019-05-15 |