| NPI | 1871709550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NJ 26NJ00131200) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP012764) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: DE LZ-0000127) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2014-11-08 |