| NPI | 1962510222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008745A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 320064) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2022-04-06 |