| NPI | 1558927467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344180-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11009795) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2023-08-21 |