| NPI | 1306829692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334657) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 482708-1) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2026-06-10 |