| NPI | 1730722109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1077879) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2364057) | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2024-02-26 |