| NPI | 1669877965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 25367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9383083) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 354984) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2024-10-04 |