| NPI | 1497209126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9322931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340950-1) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2022-07-21 |