| NPI | 1851482400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002738a) |
| 363L00000X Nurse Practitioner (Licence: TN 2005002258) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-03-19 |