| NPI | 1699875229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F332044-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9390381) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2021-12-07 |