| NPI | 1013653047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARPN11019214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348591) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2023-01-23 |