| NPI | 1710571237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346679) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2025-07-07 |