| NPI | 1134706856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180772) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F346832-01) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2025-01-27 |