| NPI | 1558595801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00283000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010300) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010300) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2014-05-19 |