| NPI | 1285112441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9266334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343704) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-01-18 |