| NPI | 1013980432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1100595) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 93678) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000595) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F331853) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-08-10 |