| NPI | 1992732770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 334272) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN171398NP) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NY 334272) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-12-09 |