| NPI | 1467775841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 108495) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2021-07-28 |