| NPI | 1750997516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F346096) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2025-05-05 |