| NPI | 1851475438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5002205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 1937) |
| 207Q00000X Family Medicine (Licence: NJ 01383700) | |
| 207Q00000X Family Medicine (Licence: NY 835879) | |
| 363L00000X Nurse Practitioner (Licence: NC 005002205) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-04-29 |