| NPI | 1174672919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN-2156712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2156712) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020076) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F348854-01) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-06-06 |