| NPI | 1497052823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9407621) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 616703) |
| 163W00000X Registered Nurse (Licence: NJ 26NR15163600) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY F336576) | |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00327600) | |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2015-09-03 |