| NPI | 1861960254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343811) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2024-07-22 |