| NPI | 1285380352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 110187885) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F348017-01) |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2022-08-25 |