| NPI | 1518272707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005051) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F0709387) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336144) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2022-08-01 |