| NPI | 1386841765 |
|---|---|
| Former Name | N/A N/A JOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5136) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-08-01 |