| NPI | 1366094914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018536) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 544669) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2024-02-09 |