| NPI | 1255444337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP008815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00107100) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-09-14 |