| NPI | 1871193755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 350880) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-01-03 |