| NPI | 1790160257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9424543) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339903-1) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2019-08-14 |