| NPI | 1871592394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302050) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ NN47632) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |