| NPI | 1386873461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341329-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 7039) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN176347) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2021-07-08 |