| NPI | 1083771497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-076543) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 348956) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2022-01-12 |