| NPI | 1881714327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA rn2292712) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP009370) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00330000) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-03-04 |