| NPI | 1841203726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP007017B) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00004700) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-03-26 |