| NPI | 1851534671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430651) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00136400) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F332093) | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2018-04-25 |