| NPI | 1881847184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP-004421-C) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN07392400) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2010-02-18 |