| NPI | 1083007579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5020589) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 339511) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 33 339511) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2024-08-15 |