| NPI | 1174296636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011507) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000079-NP) | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2025-11-20 |