| NPI | 1750353793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F335212-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71001273A) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2019-10-23 |