| NPI | 1245682913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R227409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 700315-1) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-04-04 |