| NPI | 1497033724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013193) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013193) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5013193) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336956) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2023-04-20 |