| NPI | 1356984611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN260470) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006019) | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2023-07-18 |