| NPI | 1255493649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN153980) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F332631) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2024-10-06 |