| NPI | 1558483834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA Sp009987) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00122500) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP 19450) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-09-25 |