| NPI | 1669933453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11022200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 760526) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 356683) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-05-19 |