| NPI | 1134428527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP001697V) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA VP003665B) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00159300) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-28 |