| NPI | 1083084776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339760) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-06-01 |