| NPI | 1417921503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA NN092316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ NN092316) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2017-11-29 |