| NPI | 1699821793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VI 10977P) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F303582) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2016-09-12 |