| NPI | 1841632445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F352001-01) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76034-072) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2024-03-16 |