| NPI | 1275264137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F349701-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1153102) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-03-24 |