| NPI | 1134403785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP012755) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP012755) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00341900) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2018-02-02 |