| NPI | 1750318309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 227328) |
| Additional Taxonomies | 163WH1000X Registered Nurse Hospice (Licence: NY 110078) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 327382) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-09-07 |