| NPI | 1114439726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340749-1) |
| Enumeration Date | 2017-11-05 |
| Last Update Date | 2021-10-27 |