| NPI | 1285600700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024165365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024165365) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F331498-1) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-08-07 |