| NPI | 1528507704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7189721) |
| 163W00000X Registered Nurse (Licence: NC 322935) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342642) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2021-10-20 |