| NPI | 1275686032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1377572) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1377572) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F341102) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2025-05-01 |