| NPI | 1558598367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 335914) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335914) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183229) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2025-08-19 |