| NPI | 1780908392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0012580) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY L1-0049662) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2025-04-15 |