| NPI | 1659673978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00671600) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 430559) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2016-10-18 |