| NPI | 1225480684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 341529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 7007) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-03-15 |