| NPI | 1255334355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024176748) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F032791) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-02-13 |