| NPI | 1497302574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 272473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348721) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2026-05-06 |