| NPI | 1467729871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP008642) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00091800) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2018-10-31 |