| NPI | 1326768904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 297312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 624334) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-10-23 |