| NPI | 1710912480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00154400) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F430186) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-02-02 |