| NPI | 1013249523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN1234) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2312276) | |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2024-02-05 |