| NPI | 1346717170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11019275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343779-1) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2022-08-22 |