| NPI | 1952573057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5013197) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 335870) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2024-01-29 |