| NPI | 1093209645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018528) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R209597) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 343144) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-07-14 |