| NPI | 1578343448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27885) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 355408) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-10-30 |