| NPI | 1871162149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348963) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-10-23 |