| NPI | 1174810279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017607) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP020366) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336901) | |
| Enumeration Date | 2011-07-09 |
| Last Update Date | 2024-03-06 |