| NPI | 1487290847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11035016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619723) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 346232) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2024-11-13 |