| NPI | 1447299946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R266323) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA TP005136B) |
| 363L00000X Nurse Practitioner (Licence: NY F335201-01) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-10-28 |