| NPI | 1548868326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 310469) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA AG102000075) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2024-04-16 |