| NPI | 1811549769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344754) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2025-08-25 |