| NPI | 1689727711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R245346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 333726) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2024-07-16 |