| NPI | 1144506742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP011687) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN586953) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NR14708400) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |