| NPI | 1982052882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011288) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: NJ 26NJ00641300) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-07-09 |