| NPI | 1467614230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015271) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 304914) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2021-11-11 |