| NPI | 1407292600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430766-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR08941300) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00271900) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2014-11-26 |