| NPI | 1750644241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014184) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 2NR14615100) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00386700) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2014-12-17 |