| NPI | 1891838033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024177065) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F306856-1) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-02-28 |