| NPI | 1699223271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340818-1) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2022-05-10 |