| NPI | 1356823033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343002) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-09-20 |