| NPI | 1699124230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9250649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340569-1) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2023-11-20 |