| NPI | 1427611599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 77894) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78988-091) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F340334-1) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-11-06 |