| NPI | 1700879020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310425) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 136905) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2022-10-06 |