| NPI | 1548681604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN190664) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2023-04-28 |