| NPI | 1134644503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341988-1) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |