| NPI | 1427263383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9428863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335300-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5009587) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-12-20 |