| NPI | 1346203270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024166859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ NN067472) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2014-07-28 |