| NPI | 1669958443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345319-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN240736) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP137392) | |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-11-12 |