| NPI | 1679170849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346650) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2024-02-21 |