| NPI | 1295709145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP014564) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26N011605500) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP-007195) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2016-02-05 |