| NPI | 1447579172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9405008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 532713-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F336359-1) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2021-06-16 |