| NPI | 1568545598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: PA UP005988U) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA UP005988U) |
| 363L00000X Nurse Practitioner (Licence: NJ NJ00190000) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ00190000) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-06-17 |