| NPI | 1811198674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023607) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 331208) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 331208) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-03-05 |