| NPI | 1730740358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 299853) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344627) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-03-13 |