| NPI | 1497261283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013143) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342297) | |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2024-07-30 |