| NPI | 1588092019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00461500) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430760-1) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2257760) | |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |