| NPI | 1972834703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00338600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN312613) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2020-01-23 |