| NPI | 1598103129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 337760) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2024-04-04 |