| NPI | 1396905147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9469921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335534) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-02-21 |