| NPI | 1548333032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 26672) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305596) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-01-06 |