| NPI | 1669645032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ NJ00067700) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP008078) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2019-10-18 |