| NPI | 1689230419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344143) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2025-06-25 |