| NPI | 1255880480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 0341330) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001898) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000956) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2024-01-12 |