| NPI | 1235684689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129942) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2023-02-10 |