| NPI | 1811232515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9360998) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00408700) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2016-03-18 |