| NPI | 1619536505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344416) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027220) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1126983) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035640) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-04-12 |