| NPI | 1679028252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 340808) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 290669) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2023-11-15 |