| NPI | 1710435987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341073) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2020-05-18 |