| NPI | 1336282490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP012026) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NJ00118900) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2014-01-07 |