| NPI | 1851650196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337078-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5005603) | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2020-12-17 |