| NPI | 1427760727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F349124) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-01-30 |