| NPI | 1275542763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP003096-H) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: NJ 26NN09138100) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NN09138100) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-08-10 |