| NPI | 1386120608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F345675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9238006) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-06-10 |