| NPI | 1508484791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R187708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347101) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-09-12 |