| NPI | 1043440134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 344978) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2333959) |
| 363LF0000X Nurse Practitioner Family (Licence: GA F0609417) | |
| 363LF0000X Nurse Practitioner Family (Licence: NH 084002-23) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2024-01-08 |