| NPI | 1477855633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00972000) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011028) |
| 363L00000X Nurse Practitioner (Licence: DE LP-0000188) | |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2022-09-30 |