| NPI | 1790161529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 853921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F339444) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-07-19 |