| NPI | 1508829706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171474) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302915-1) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-03-20 |