| NPI | 1225775380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26408) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F349399) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-10-06 |