| NPI | 1912939349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP006278P) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NN04851900) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-07-31 |