| NPI | 1669952362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340722) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-05-27 |