| NPI | 1578588927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP003683B) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00019600) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-12-17 |