| NPI | 1770070500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F347028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136178) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-03-29 |