| NPI | 1942631957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0012419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013087) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F338612-1) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2024-11-06 |