| NPI | 1346702800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007386) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343486) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2023-05-26 |