| NPI | 1518005578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00625900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024165219) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-05-01 |