| NPI | 1093370470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344219) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8191) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP023805) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-03-06 |