| NPI | 1578803656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3368901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 285756) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2023-07-05 |