| NPI | 1811444557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345434) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201606344NP-PP) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2021-12-28 |