| NPI | 1144245713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010223) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331788-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9339899) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-04-24 |