| NPI | 1275098717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11016460) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11016460) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F342784-1) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-03-22 |