| NPI | 1811396146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F0714530) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2023-11-02 |