| NPI | 1871519728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302835-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR09804200) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00088900) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-03-08 |