| NPI | 1356533970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00283100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA rn156361) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2017-10-25 |