| NPI | 1497028146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 210270) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2023-07-12 |