| NPI | 1356358428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 925083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26N006242100) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-11-24 |