| NPI | 1386683589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 900075) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F440034-1) |
| 363L00000X Nurse Practitioner (Licence: NC 900075) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-05-11 |