| NPI | 1891026266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R190295) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD R190295) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00259600) | |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2018-03-17 |