| NPI | 1902008832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11019974) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 430029) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2024-04-02 |