| NPI | 1134202864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F304250) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1092985) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-04-05 |