| NPI | 1043357395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9432331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f333746-1) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-10-17 |