| NPI | 1528377140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00305400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP011531) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2012-01-12 |