| NPI | 1376136887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347121) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2022-05-29 |