| NPI | 1326573270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009626) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340856-1) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2021-07-27 |