| NPI | 1518292325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00367600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH NP9598) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2012-06-04 |