| NPI | 1245887173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344927) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178649) | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-04-28 |