| NPI | 1497215404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344531-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61627719) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-12-26 |