| NPI | 1184195034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176986) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343117-1) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |