| NPI | 1356363790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00073700) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F430237-1) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2012-01-10 |