| NPI | 1407089212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335915) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2025-05-18 |