| NPI | 1033588462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 2015011090) |
| 163WE0003X Registered Nurse, Emergency (Licence: TN 177903) | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2024-05-22 |