| NPI | 1346586237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9351769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 345817) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2022-12-28 |