| NPI | 1407150576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012986) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R175619) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00461200) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2015-08-05 |