| NPI | 1326138280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9185821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 334425) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-07-21 |