| NPI | 1023722311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 351058) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-06-18 |