| NPI | 1649732744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345302) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 222449) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-12-14 |