| NPI | 1427304252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP012082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN623150) |
| 163W00000X Registered Nurse (Licence: NJ 26NR15535500) | |
| 163W00000X Registered Nurse (Licence: DE L10040151) | |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00388700) | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2015-04-01 |