| NPI | 1912097080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167555) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2141172) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 444094) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY FF334994-01) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-03-13 |