| NPI | 1033472139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 223909) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006621) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 337311) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-02-04 |