| NPI | 1225333271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F308896) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1996443) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2022-01-13 |