| NPI | 1326469651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 21057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY F338404-1) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2022-01-04 |