| NPI | 1538499488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014683) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00271800) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11001220) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2021-05-20 |