| NPI | 1720057292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9345064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f 334431-1) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-09-14 |