| NPI | 1316969447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP006938C) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO11587400) |
| 163W00000X Registered Nurse (Licence: PA RN327133L) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-05-16 |