| NPI | 1518031202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9263608) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 334423) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-02-10 |