| NPI | 1477949378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000852) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ SP014781) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-05-27 |