| NPI | 1487148466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343156) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-05-28 |