| NPI | 1770990210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338984-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1140518) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-05-21 |