| NPI | 1659470482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA VP001104B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NN09997600) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-05-18 |