| NPI | 1609241959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f342137-1) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2024-05-17 |