| NPI | 1245460856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9288187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9288187) |
| 163W00000X Registered Nurse (Licence: NY 569137) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336083) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2022-07-14 |