| NPI | 1497459465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 2022092770) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-01-28 |