| NPI | 1609178425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00637400) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY f430538-1) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2017-01-19 |