| NPI | 1417373119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9423325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338607) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F338607-1) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2023-04-24 |