| NPI | 1215489752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340284) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2023-04-18 |