| NPI | 1851693055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP012125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 567761) |
| 163W00000X Registered Nurse (Licence: NJ 26NR14281300) | |
| 163W00000X Registered Nurse (Licence: PA RN635789) | |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2013-02-20 |